Preventative mental health care: accessing the target population

Objective: Preventative approaches to mental illness are becoming a focus o f clinical and research settings. To date, however, few clinical programs h ave been established with this primary aim. This descriptive paper summaris es patterns of referral to one service providing clinical care for young pe ople known to be at high risk of developing a psychotic illness. Methods and results: A 20-month survey of referrals to the service revealed that most patients had a prolonged and circuitous route to assessment. Add itionally, a lengthy time period elapsed between the onset of symptoms and initiation of help seeking. Conclusions: Information arising from this survey may influence the develop ment of strategies to improve access to this service and others aimed at th e prevention of psychosis, Further, this information may affect the develop ment of generalised preventative mental health services for young people.